Gene therapy could free Wilson's patients from daily pills
NCT ID NCT07641140
First seen Jun 25, 2026 · Last updated Jul 02, 2026 · Updated 2 times
Summary
This early-stage trial tests a single-dose gene therapy called LY-M003 in 18 adults with Wilson's disease, a genetic condition that causes copper buildup. The goal is to see if it's safe and can reduce or eliminate the need for standard daily medications. Participants receive one intravenous infusion and are monitored for side effects and treatment response.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- LY-M003 (a gene therapy given as a single intravenous infusion)
- What this could lead to
- If successful, this could allow people with Wilson's disease to reduce or stop their daily medications, potentially controlling the disease with a one-time treatment.
- What could go wrong
- This is an early, small trial (18 people) testing safety and dosing. Gene therapies can have serious side effects, and it's unknown if the effect will last or if lifelong medication will still be needed.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 1/2
Runs two stages together: safety and dose first, then whether the treatment works.
- Participants
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About 18 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Jun 2026
An estimate. Start dates often move.
- Expected to finish
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Dec 2032
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 60 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. The subject fully comprehends the purpose, design, methods and possible adverse events of the study, agrees to participate voluntarily and signs the informed consent form (ICF). 2. Patients with confirmed diagnosis of Wilson's disease (WD). 3. Subjects with Wilson's disease (WD) confirmed by laboratory testing to have biallelic ATP7B gene mutation or deletion. 4. The subjects are treated patients with Wilson's disease (WD) who have received standard therapy (e.g., D-penicillamine or zinc acetate) continuously for at least 6 months prior to screening. 5. Subjects have maintained a low-copper diet for at least 6 consecutive months prior to screening and will continue this dietary restriction throughout the study. 6. Subjects must agree to refrain from donating blood, organs, tissues or cells at any time after treatment. 7. Female subjects of childbearing potential (WOCBP) must have a negative pregnancy test. 8. Subjects and their partners must have no plans for pregnancy from screening through 6 months after study completion, and will voluntarily use effective contraception (e.g., abstinence, condoms). Subjects shall not plan to donate sperm or ova. Exclusion Criteria: 1. AAV8 neutralizing antibody titer \> 1:10 . 2. History of active gastrointestinal bleeding within the past 3 months. 3. Decompensated liver cirrhosis or advanced liver disease presenting with portal hypertension, ascites, splenomegaly, esophageal varices, hepatic encephalopathy, etc. 4. Subjects with other concomitant liver diseases as judged by the investigator, including autoimmune hepatitis, alcoholic liver disease, primary biliary cholangitis, primary sclerosing cholangitis, and/or drug- or toxin-induced liver disease. 5. Subjects with severe hypersplenism complicated and requiring splenectomy as assessed by the investigator. 6. Model for End-Stage Liver Disease (MELD) score \> 13. 7. Other disorders of copper metabolism, such as chronic cholestatic liver diseases, disorders of glycosylation, copper metabolism disorders, etc. 8. A history of non-compliance with copper chelators or zinc agents as assessed by the investigator within 6 months prior to screening. 9. Previously treated WD subjects with ALT and/or AST levels more than 5 times the upper limit of normal (ULN). 10. Subjects with severe neurological deficits or impairments that, in the investigator's judgment, compromise their safety and/or ability to participate in the study. 11. Hemoglobin \< 90g/L. 12. Subjects with positive hepatitis B surface antigen (HBsAg), positive hepatitis C virus (HCV) antibody, positive human immunodeficiency virus (HIV) antibody or positive treponema pallidum antibody. 13. Subjects with end-stage renal disease on dialysis (Chronic Kidney Disease Stage 3 and above), or creatinine clearance \< 60 mL/min. 14. Severe hyperlipidemia (triglycerides \>1000 mg/dL); 15. Subjects who have received or plan to undergo bone marrow transplantation, hematopoietic stem cell transplantation and/or major organ transplantation, including but not limited to liver transplantation and renal transplantation. 16. Subjects with clinically diagnosed severe cardiovascular diseases or those deemed by the investigator to have such conditions (e.g., New York Heart Association \[NYHA\] heart failure classification ≥ Class 3). 17. Subjects with uncontrolled concomitant diseases or infectious diseases as assessed by the investigator. 18. Subjects who are allergic to any ingredient of LY-M003 Injection. 19. Prior receipt of any type of gene therapy or cell therapy. 20. Use of systemic immunosuppressants or steroids within 3 months prior to administration (except for prophylactic immunosuppressive therapy specified in the protocol). 21. History of cancer within 5 years prior to screening, excluding completely resected non-melanoma skin cancer, non-metastatic prostate cancer and fully cured ductal carcinoma in situ. 22. Received live attenuated vaccines within 4 months prior to screening, or planned to receive such vaccines during the clinical trial. 23. Received treatment or intervention with other investigational drugs or study devices within 28 days or 5 half-lives (for drugs only) prior to screening, whichever is longer. 24. Pregnant women (or women planning pregnancy) or breastfeeding women. 25. Other conditions that, in the investigator's opinion, render the subject ineligible for study participation.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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The First Affiliated Hospital, Zhejiang University School of Medicine
Hangzhou, Zhejiang, 310003, China
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Could a single daily pill simplify Wilson's disease treatment?
- Hidden heart risks in Wilson's disease: a new scan could spot them early
- Can a global patient registry unlock the mysteries of Wilson's disease?
- Can a single infusion rewrite the genetic code behind wilson disease?
- New Once-Daily drug could simplify Wilson's disease treatment
- New blood tests could simplify Wilson's disease monitoring